Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael C. Mandziara, PA

Individual provider Physician Assistant · NPI 1245632165

Mr. Michael C. Mandziara, PA is a Physician Assistant in Spokane, Washington. Graduated from Central Michigan College of Medicine in 2014, 12 years ago. Practices with Sound Physicians Intensivists of Washington PLLC, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
12
Trained at
Central Michigan College of Medicine
Licensed in
MI, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9631 N Nevada St Ste 300
Spokane, WA 99218-1193
Phone: (509) 465-3919
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61256932 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 5601007182 (MI)

Record details

NPI number1245632165
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Sound Physicians Intensivists Of Washington Pllc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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